Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jan 6, 2023
License(s)
GAA-NP001155 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 57 FORSYTH ST NW | Atlanta, GA 30303-2229 | |
| LOCATION | 57 FORSYTH ST NW | Atlanta, GA 30303-2229 | 770-357-2400 |
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